典藏书目

Bristle abscess (Binju) occurs in the Hand-Shaoyang Sanjiao Meridian and Foot-Shaoyang Gallbladder Meridian. The syndrome is formed by the condensation of desire-fire and anger qi. These two meridians are characterized by abundant qi and scarce blood; therefore, after ulceration, the discharge of pus should not be excessive.

[Annotation] This syndrome manifests at the sideburns, belonging to the Hand-Shaoyang Sanjiao Meridian and the Foot-Shaoyang Gallbladder Meridian. The etiology involves hyperactive ministerial fire, external invasion of wind-heat, combined with an irritable temperament and anger, where desires generate internal fire, leading to condensation of qi and blood. Both meridians belong to the category of abundant qi and scarce blood, making it difficult for tissue to necrose and suppurate. Furthermore, the muscles at the sideburns are thin, making acupuncture and moxibustion unsuitable; one should wait for natural rupture. After rupture, excessive pus is undesirable, as it indicates excessive consumption of blood and fluids, hindering wound healing. In the initial stage, Chaihu Qinggan Tang (Caulis Bupleuri Liver-Clearing Decoction) is indicated to resolve the pathogen. When pus has formed, Tuoli Xiaodu San (Interior-Supporting and Toxin-Expelling Powder) is used to support the healthy qi and expel toxins. Externally, Ermiao Baidu San (Two-Ingredient Antidote Powder) is applied. For treatment methods after ulceration, refer to the section on Carbuncles and Ulcers.

Chaihu Qinggan Tang (Caulis Bupleuri Liver-Clearing Decoction)
Ingredients: Caulis Bupleuri (Chaihu), Rhizoma Anemarrhenae (Zhimu - *Note: Text says Shengdi, correcting to standard text if implied, but strictly following input: Radix Rehmanniae Preparata/Shengdihuang*), Radix Angelicae Sinensis (Danggui), Radix Paeoniae Rubra (Chishao), Rhizoma Chuanxiong (Chuanxiong), Fructus Forsythiae (Lianqiao), Semen Arctii (Niubangzi), Radix Scutellariae (Huangqin), Fructus Gardeniae Jasminoidis (Zhizi), Radix Trichosanthis (Tianhuafen), Radix Glycyrrhizae (Gancao), Radix Saposhnikoviae (Fangfeng).
*Correction based on strict input text:* Caulis Bupleuri (Chaihu), Radix Rehmanniae Recens (Shengdi), Radix Angelicae Sinensis (Danggui), Radix Paeoniae Rubra (Chishao), Rhizoma Chuanxiong (Chuanxiong), Fructus Forsythiae (Lianqiao), Semen Arctii (Niubangzi), Radix Scutellariae (Huangqin), Fructus Gardeniae Jasminoidis (Zhizi), Radix Trichosanthis (Tianhuafen), Radix Glycyrrhizae (Gancao), Radix Saposhnikoviae (Fangfeng).
Dosage: Chaihu, Shengdi (each 1.5 qian); Danggui (2 qian); Chishao (1.5 qian); Chuanxiong (1 qian); Lianqiao (decentered, 2 qian); Niubangzi (stir-fried and crushed, 1.5 qian); Huangqin (1 qian); Zhizi (raw, crushed); Tianhuafen; Gancao Jie (Gancao nodes); Fangfeng (each 1 qian).
Preparation: Decoct in two cups of water until reduced to eight-tenths. Take after meals.

[Prescription Verse] Chaihu Qinggan Tang treats syndromes caused by anger, promoting blood circulation, unblocking collaterals, and detoxifying effectively. It uses Siwu Tang ingredients raw, combined with Chaihu, Lianqiao, and Niubangzi, along with Huangqin, Zhizi, Tianhuafen, Gancao Jie, and Fangfeng.

Tuoli Xiaodu San (Interior-Supporting and Toxin-Expelling Powder) and Ermiao Baidu San (Two-Ingredient Antidote Powder) are both described in the chapter on Swollen Sores (Zhongyang).

Tianju (Premature Death Abscess) appears on the left, and Ruidu (Sharp Toxicity) appears on the right. These conditions belong to the Gallbladder Fu-organ and manifest behind the ear. They are caused by excessive deliberation leading to stagnant fire. Since the flesh here is thin, urgent treatment is required.

[Annotation] These two syndromes are named Tianju on the left and Ruidu on the right, both occurring behind the high bone one inch and three fen behind the ear. "Tian" refers to dying prematurely without fulfilling one's natural lifespan; "Rui" means sharp or keen, indicating severe toxicity. Few patients recover from these conditions. Initially, they appear like millet grains, gradually swelling to the size of a melon, becoming hard, flat, purple-dark, and lusterless. The pain is significantly more intense than other sores. Although named differently, both locations behind the left and right ears belong to the Foot-Shaoyang Gallbladder Meridian. They result from indecisive deliberation and condensation of stagnant fire. The skin and flesh here are thin, with abundant qi and scarce blood, ultimately constituting a dangerous syndrome requiring immediate treatment. Delay allows heat qi to descend into the Yuanli point (GB12), damage the Ren Mai (Conception Vessel) anteriorly, and internally熏 (smolder/burn) the Liver and Lungs, causing all malignant symptoms to appear, inevitably leading to death. Rapid redness, swelling, and suppuration indicate a favorable prognosis (Shun); hardness and black depression indicate an unfavorable prognosis (Ni). Even with correct prescription matching, only four or five out of ten cases may be cured. Initially, Chaihu Qinggan Tang is taken to dissipate the pathogen. As pus forms, Tuoli Xiaodu San is taken. For deficient patients, Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) is used to support and tonify. Externally, Wulong Gao (Black Dragon Ointment) is applied. Other internal and external treatments follow the chapter on Carbuncles, Swollen Sores, and Ulcers. (Yuanli is an acupoint of the Gallbladder Meridian).

Chaihu Qinggan Tang (See above under Binju)
Tuoli Xiaodu San and Wulong Gao are both described in the chapter on Swollen Sores (Zhongyang).
Shiquan Dabu Tang is described in the chapter on Ulcers (Kuailang).